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Shared decision making for the allergist.

Michael S Blaiss1, Gary C Steven2, Bruce Bender3

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Shared decision making (SDM) empowers patients with chronic allergic conditions. Implementing SDM improves adherence, outcomes, and patient satisfaction in allergy care.

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Area of Science:

  • Allergy and immunology
  • Patient-centered care
  • Health services research

Background:

  • Shared decision making (SDM) is increasingly recognized for empowering patients with treatment preference-sensitive conditions.
  • Conditions include allergic rhinitis, atopic dermatitis, food allergy, and persistent asthma.
  • SDM implementation is ethically, practically, economically, and psychologically imperative, especially for chronic diseases.

Purpose of the Study:

  • To educate allergy healthcare providers on the principles and practice of SDM.
  • To offer practical advice and specific resources for allergists to implement SDM.
  • To highlight the benefits of SDM in managing allergic diseases.

Main Methods:

  • Literature review of PubMed and online patient decision aid resources.
  • Selection of studies and reviews relevant to SDM and patient decision aids for allergy providers.

Main Results:

  • SDM models and identified benefits/barriers exist for implementation.
  • SDM for asthma improves adherence, outcomes, and patient satisfaction.
  • Patient decision aids are available for allergen immunotherapy, severe asthma, and atopic dermatitis.

Conclusions:

  • Effective SDM enhances treatment adherence and patient outcomes.
  • SDM should be a core component of patient-centered healthcare.
  • Allergy providers should collaborate with patients to align treatment decisions with individual values and preferences.